Individual
CORY TRUJILLO CHACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
406 CHELSEA ST, EL PASO, TX 79905-1708
(915) 779-7827
(915) 779-7829
Mailing address
406 CHELSEA ST, EL PASO, TX 79905-1708
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
207015
TX
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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